STD Symptoms: Is It HIV or Another Infection? - Urology

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HIV/AIDS or sexually transmitted diseases (STDs)


I had sexual intercourse with my girlfriend in early May.
After that, nothing significant happened, but at the beginning of this month, I started experiencing cold symptoms, including a sore throat with phlegm, headaches, and vomiting.
I also noticed that the skin around my brother's urethra is black.
Could this be an indication of HIV or a sexually transmitted infection?

Xiao Jun, 10~19 year old female. Ask Date: 2016/06/09

Dr. Chen Jiansheng reply Urology


Hello Xiao-Jun: The diagnosis of AIDS requires confirmation through serological testing.
Chen Jian-Sheng, Urology Department, Xinying Hospital.

Reply Date: 2016/06/09

More Info


When it comes to understanding sexually transmitted diseases (STDs), including HIV, it’s essential to recognize that symptoms can vary widely and may overlap with other infections. Based on your description, you experienced symptoms such as a sore throat, phlegm, headaches, and vomiting after engaging in sexual activity with your girlfriend. Additionally, you mentioned noticing a change in the appearance of your penis, specifically a dark line on the skin of the urethra.

Firstly, let’s address the symptoms you are experiencing. The symptoms of a sore throat, headaches, and gastrointestinal issues like vomiting can be indicative of various infections, including viral infections such as the common cold or flu, bacterial infections, or even other STDs. It’s important to note that acute HIV infection can present with flu-like symptoms, including fever, sore throat, fatigue, and swollen lymph nodes, typically occurring 2 to 4 weeks after exposure. However, these symptoms are not exclusive to HIV and can be seen in many other conditions.

Regarding the dark line you observed on your penis, this could be due to several factors, including hyperpigmentation, irritation, or even a benign condition. It’s crucial to have this evaluated by a healthcare professional, as changes in the skin can sometimes indicate an infection or other underlying issues.

To determine whether you might have contracted HIV or another STD, it is essential to undergo testing. The window period for HIV testing can vary; while some tests can detect the virus within 1 to 2 weeks after exposure, others may take longer. The most reliable results are typically obtained at least 3 months after potential exposure.
In addition to HIV, other STDs such as gonorrhea, chlamydia, and syphilis can also present with similar symptoms. Therefore, it is advisable to get tested for a comprehensive panel of STDs, which can provide clarity and peace of mind.

It’s also important to consider your sexual health moving forward. Practicing safe sex, such as using condoms consistently and correctly, can significantly reduce the risk of transmitting or acquiring STDs, including HIV. Regular screenings for STDs are also recommended, especially if you have multiple partners or engage in high-risk behaviors.

In summary, while your symptoms could potentially be related to an STD, including HIV, they are not definitive indicators of infection. The best course of action is to consult with a healthcare provider who can perform the necessary tests and provide a proper diagnosis. Early detection and treatment are crucial for managing any infections and maintaining overall health. Remember, it’s always better to seek medical advice sooner rather than later when it comes to your health.

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